HESI Mental Health NGN Exam Version B

HESI Mental Health NGN Exam Version B Study Guide Prepared for Nursing Students June 6, 2025 Contents

• Introduction3
• Test-Taking Strategies3

3 Version B: Practice Questions3

3.1 Question 1 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 3.2 Question 2 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 3.3 Question 3 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 3.4 Question 4 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . . .4 3.5 Question 5 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .5 3.6 Question 6 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 3.7 Question 7 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 3.8 Question 8 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 3.9 Question 9 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . . .6 3.10 Question 10 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .6 3.11 Question 11 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 3.12 Question 12 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 3.13 Question 13 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 3.14 Question 14 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .7 3.15 Question 15 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .8 3.16 Question 16 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 3.17 Question 17 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 3.18 Question 18 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 3.19 Question 19 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .9 3.20 Question 20 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .9 3.21 Question 21 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 3.22 Question 22 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 3.23 Question 23 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 3.24 Question 24 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .10 3.25 Question 25 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .11 3.26 Question 26 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 3.27 Question 27 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

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3.28 Question 28 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 3.29 Question 29 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .12 3.30 Question 30 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .12 3.31 Question 31 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 3.32 Question 32 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 3.33 Question 33 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 3.34 Question 34 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .13 3.35 Question 35 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .14 3.36 Question 36 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 3.37 Question 37 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 3.38 Question 38 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 3.39 Question 39 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .15 3.40 Question 40 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .15 3.41 Question 41 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 3.42 Question 42 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 3.43 Question 43 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 3.44 Question 44 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .16 3.45 Question 45 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .16 3.46 Question 46 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 3.47 Question 47 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 3.48 Question 48 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 3.49 Question 49 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .18 3.50 Question 50 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .18 3.51 Question 51 (Cloze) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 3.52 Question 52 (Matrix) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 3.53 Question 53 (Bowtie) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 3.54 Question 54 (Drag-and-Drop) . . . . . . . . . . . . . . . . . . . . . . . .19 3.55 Question 55 (Highlight Text) . . . . . . . . . . . . . . . . . . . . . . . . .19

• Tips for NGN Success20

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1Introduction This study guide is crafted for nursing students preparing for the HESI Mental Health Next Generation (NGN) Exam, Version B. It includes 55 high-yield, exam- style questions with verified answers and evidence-based rationales, aligned with the NCSBN Clinical Judgment Measurement Model and HESI blueprints.The guide features all NGN item types (Matrix, Bowtie, Cloze, Drag-and-Drop, Highlight Text) and real-life clinical scenarios to enhance clinical reasoning, pri- oritization, and safety assessment skills.2Test-Taking Strategies

•Recognize Cues: Identify critical symptoms, behaviors, or history in sce-

narios.

•Analyze Cues: Connect findings to mental health diagnoses or risks.

•Prioritize Hypotheses: Focus on immediate safety or acute needs.

•Time Management: Spend 1–2 minutes per question; revisit complex items.

•NGN Tips: For Matrix, evaluate interventions independently; for Bowtie,

map actions to outcomes; for Drag-and-Drop, prioritize logical order; for Highlight Text, focus on urgent risks.

3Version B: Practice Questions

3.1Question 1 (Cloze) A client with bipolar disorder reports, ”I haven’t slept in days and feel unstop- pable.” The nurse observes rapid speech.Complete the sentence by selecting the appropriate interventions.The nurse should prioritize [Select one]and [Select one]to address the client’s needs.•A. Administer a sedative •B. Provide a low-stimulus environment •C. Encourage high-energy activities •D. Monitor mood changes

Answer: B. Provide a low-stimulus environment, D. Monitor mood changes

Rationale: A low-stimulus environment reduces agitation in mania, and moni-

toring mood changes tracks symptom severity.

3.2Question 2 (Matrix) A client with schizophrenia exhibits disorganized speech. Indicate whether the following interventions areAppropriateorInappropriate.

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